Organization
CREW RACING, LLC
Active
Other names
Crew Racing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN GLENN DPT (OWNER)
(330) 429-4429
Entity
Organization
Contact information
Practice address
1305 BOARDMAN CANFIELD RD STE 2, YOUNGSTOWN, OH 44512-4034
(330) 429-0766
Mailing address
1305 BOARDMAN CANFIELD RD STE 2, YOUNGSTOWN, OH 44512-4034
(330) 429-0766
(844) 704-4419
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184033599
PHYSICAL THERAPIST
OH
Enumeration date
09/20/2019
Last updated
09/20/2019
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